Rose Drug of Clarksville

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR02076 Issued in AR

Legal business name

ROSE DRUG OF CLARKSVILLE

Doing business as

Rose Drug of Clarksville, Inc

Practice address

211 E Main St
Clarksville, AR 72830-3723

Phone

(479) 754-2180

Fax

(479) 754-5030

NPI assigned

Feb 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Harmon, PD

Title

Vice President

Phone

(479) 754-2180

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rose Drug of Clarksville, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1568501914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303723",
            "telephone_number": "479-754-2180",
            "fax_number": "479-754-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303723",
            "telephone_number": "479-754-2180",
            "fax_number": "479-754-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DRUG OF CLARKSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "479-754-2180",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR02076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137343",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Drug of Clarksville, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Terry Kerbs, L.L.C.
• Brittany Rodriguez, RECOVERY ASSISTANT
• Jodi Lynn Rodriguez, LPC
• Robert Sterling Rogers, MHPP
• John F Rommel, D.D.S.
• Jodie Rose, CMP
• Roxanne E. Marshall, P.a.
• Elizabeth Russell
• James Rylee, RECOVERY ASSISTANT
• Safe Haven Ministries, Inc.

• Community/Retail Pharmacy in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.